DR. KYLE NOSKOVIAK (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1598933491
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
33 PATHOLOGY in ID
Provider Addresses for DR. KYLE NOSKOVIAK (M.D.)
4743 E SUGARMAPLE DR
SPRINGFIELD, MO 658092439
Phone: (619) 850-6450
Type: Mailing
PO BOX 94029
SEATTLE, WA 981249429
Phone: (800) 475-6236
Fax: (706) 653-4449
Type: Mailing
190 E BANNOCK ST
BOISE, ID 837126241
Phone: (208) 381-2222
Type: Location
550, East Primrose Street, Springfield, Greene County, Missouri, 65807, United States
SPRINGFIELD, MO 658075180
Phone: (417) 269-4647
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-06-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240619001342 | I | Pathology | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 982 | 565 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 287 | 60 | $0 |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 172 | 82 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 149 | 134 | $0 |
| 84165 | Protein measurement, serum | 138 | 135 | $0 |
Insurance plans in this area (ZIP 65809)
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Provider's Procedures
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